7 research outputs found
A randomised controlled study of mouth swab testing versus same day blood tests for HIV infection in young people attending a community drug service.
No full textAuthor(s) Pre Print Version OnlyINTRODUCTION AND AIMS: This study was designed to determine whether providing an oral swab test in the community for blood borne virus testing leads to an increase in subsequent attendance for sexually transmitted infection (STI) screening at the STI clinic compared with making appointments for young people to attend the clinic for same day HIV testing and STI screening. DESIGN AND METHODS: Participants were randomised into either the oral swab test group or the blood test group of the trial if eligible. RESULTS: All the 27 participants in the oral swab test group were tested for HIV and hepatitis C compared with five for HIV and two for hepatitis C in the blood test group (P < 0.001). Only two of the 27 participants in the blood test group were tested for hepatitis B compared with 25 in the oral swab test group (P < 0.001). Nine participants in the oral swab test group attended the STI clinic for STI screening compared with three in the blood test group (P = 0.09). DISCUSSION AND CONCLUSIONS: An oral swab test in the community for blood borne virus testing leads to an increase in the number of young high-risk people tested for blood borne infections and is associated with a trend towards higher rates of subsequent attendance for STI screening
A randomised controlled study of mouth swab testing versus same day blood tests for HIV infection in young people attending a community drug service
No full textAccess to Infertility Investigations and Treatment in Couples Infected With HIV: Questionnaire Survey
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A randomised controlled trial to assess pain with urethral swabs
No full textInternational audienceBackground Urethral swabs are uncomfortable due to the nature of the mucosa and may be a reason for non-attendance of men at sexually transmitted infection clinics. This randomised controlled trial was designed to describe the extent of discomfort associated with direct urethral sampling, and to determine whether this varies by the type of swab used. Methods Male patients over the age of 16 having swab tests were invited to participate. and were randomised to receive either a gonorrhoea Dacron tipped swab, a chlamydia Rayon tipped swab or a plastic 10 µL urethral loop first for urethral sampling followed by the others sequentially. Discomfort was measured using the 0-100mm Visual Analogue Scale (VAS). Findings 129 men having urethral swabs carried out as part of their screening tests for STI's were invited to participate in the study and 121 were recruited. The median pain scores (IQR) regardless of sampling method, before and after the first urethral sampling were 0 mm (0-0) and 50 mm (22-71) (p<0.001), before and after the second urethral sampling were 9mm (0-28) and 59.5mm (38.3-78) (p<0.001) and before and after the third urethral sampling were 10 mm (0-31) and 58 mm (29.3-80) (p<0.001). Direct urethral sampling was associated with a pain score on a 100mm visual analogue scale of 60.5mm using a Rayon Chlamydia swab, 52mm using a Dacron gonorrhoea swab and 25.5mm using a plastic loop. Interpretation Direct urethral sampling is associated with discomfort and/or pain in men which was significantly greater with a swab compared to a plastic loop. Urine should therefore be the specimen type of choice. When direct urethral sampling is indicated a loop is to be preferred to a urethral swab
